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Central illustration. Clonal haematopoiesis of indeterminate potential (CHIP) occurs particularly in the elderly; it is the result of an acquired mutation occurring in a population of haematopoietic stem cells, conferring a growth advantage to their progeny. Because of the pro-inflammatory phenotype, it favours atherothrombosis, leading to coronary artery diseases such as myocardial infarction, and is also associated with heart failure (ischaemic and non-ischaemic), as well as aortic stenosis, altering the prognosis of CHIP carriers.
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Central illustration. Endothelial progenitor cell (EPC) extraction, culture and characterisation, and adhesion, proliferation and haemocompatibility testing on three devices. ASD: atrial septal defect; NS: not significant; PC: positive control.
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Central illustration. The concept of myocardial glucotoxicity and protective action of the AMP-activated protein kinase (AMPK).
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The difficult balance between thrombosis and bleeding after transcatheter aortic valve replacement. TAVR: transcatheter aortic valve replacement.
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Central illustration. Summary of strategies to improve atrial fibrillation (AF) ablation outcomes in obese patients. BMI: body mass index; BS: bariatric surgery; CT: computed tomography; CV: cardiovascular; EAM: electro-anatomical mapping system; EAT: epicardial adipose tissue; MRI: magnetic resonance imaging; NOAC: non-vitamin K antagonist oral anticoagulant; PAF: paroxysmal atrial fibrillation; TOE: transoesophageal echocardiography; TTE: transthoracic echocardiography; US: ultrasound; VKA: vitamin K antagonist.
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Central illustration. Potential impact of colchicine on the pathways involved in atherosclerosis. IL: interleukin; MMP: matrix metalloproteinase; SMC: smooth muscle cells. Adapted from [42].
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Central illustration: cumulative major adverse cardiac events (MACE) and bioresorbable vascular scaffold (BVS) thrombosis rates after 1, 2, 3, 4 and 5 years.
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Central illustration. Patient-centred benefit versus risk analysis of early aortic valve replacement (AVR) for asymptomatic severe aortic stenosis. AKI: acute kidney injury; PM: pacemaker; PPM: patient prosthesis mismatch.
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